Acute cholangitis and hemobilia in a patient with liver cirrhosis and portal vein cavernomatous transformation

Portal hypertensive cholangiopathy (PHC) includes bile duct (BD) abnormalities seen in patients with extrahepatic portal vein obstruction (EPVO). The formation of varices in the epiand paracholedochal venous plexes which compress the biliary tract take part in its pathogenesis (1,2). Its course is usually asymptomatic, being obstructive jaundice and hemobilia rare manifestations of this entity (3,4). The latter is related to choledocholithiasis and BD manipulation, and less frequently to choledochal varices (4).